Home Health Care

APRIL 15, 2024

Last week, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new proposed model that will undoubtedly affect home health providers, and also allow them the opportunity to get more involved in value-based care initiatives. TEAM would be yet another model furthering that goal, if enacted.

Accountability 68

Accountability Medicare Home Care Quality of Care 68

Briggs Healthcare

APRIL 28, 2023

Specifically, they would establish access standards through Medicaid or CHIP managed care plans as well as transparency for Medicaid payment rates to providers, including hourly rates and compensation for certain direct care workers.

Medicaid 52

Medicaid Quality of Care Accountability Medicare 52

NASHP

OCTOBER 22, 2021

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care October 25, 2021 / by Salom Teshale, Kitty Purington, Wendy Fox-Grage, and Mia Antezzo. Comprehensive care coordination. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms.

Medicaid 102

Medicaid Hospice Care Integration Regulations 102

Sheppard Health Law

OCTOBER 27, 2021

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care. Strategic Objective 2: Advance Health Equity.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

DECEMBER 23, 2022

With more than 40 percent of births financed by Medicaid, the Centers for Medicare & Medicaid Services (CMS) has developed an action plan that corresponds with goals outlined in the White House blueprint. Implement Medicaid benefit. Monitor and evaluate quality improvement and outcomes and address barriers to care.

Medicaid 59

Medicaid Nursing Regulations Hospitals 59

NASHP

MAY 17, 2022

How State Medicaid Programs Serve Children and Youth in Foster Care May 17, 2022 / Veronnica Thompson. Children and youth in foster care (CYFC) often benefit from targeted services and supports. Yet, many receive fragmented or limited access to care, contributing to higher rates of unmet health needs. [1]

Medicaid 64

Medicaid Integration Medicare Primary Care 64

NASHP

JANUARY 12, 2024

During the pandemic and with the support of federal American Rescue Plan Act (ARPA) funds, many states increased Medicaid payment rates for these workers with one-time pay increases or bonuses. In 2024, people with Medicare and Medicaid coverage (i.e.,

Medicaid 64

Medicaid Nursing Accountability Integration 64

HIT Consultant

APRIL 11, 2023

The RAND study published in the Journal of the American Medical Association found that in August 2022 audio-only visits still accounted for 1 in 5 primary care visits and 2 in 5 behavioral health visits among people who received care at Federally Qualified Health Centers in California.

Primary Care 94

Primary Care Medicaid Quality of Care Accountability 94

Home Health Care

OCTOBER 18, 2022

The taxpayer dollars that fund Medicare and Medicaid are meant to support the delivery of health care services most suitable for beneficiaries,” Mike Stapleton, acting special agent in charge at the U.S. We are determined to safeguard the integrity of our nation’s health care systems.”. Gray said in the statement.

Tricare 104

Tricare Medicaid Medicare Integration 104

p3care

FEBRUARY 10, 2021

From the next performance year (2021), Accountable Care Organizations (ACOs) expect different reporting requirements under the Medicare Shared Savings Program. CMS (Centers for Medicare and Medicaid Services) has recommended changes for ACO reporting criteria. Quality of Care by ACOs.

Medicare 246

Medicare Accountable Care Accountability Medicaid 246

Healthcare ECONOMIST

JULY 18, 2022

The Oncology Care Model (OCM) is dead. The Oncology Care Model was a voluntary, alternative payment model (APM), that “ included financial and performance accountability for episodes of care surrounding chemotherapy administration to cancer patients.

Medicaid 83

Medicaid Quality of Care Accountability Patient Experience 83

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. million Medicaid participants. million Medicaid enrollees.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

Home Health Care

SEPTEMBER 3, 2022

The study from RAND Corporation, a nonprofit research organization, looked at 15 different quality measures from patients on MA plans during 2016 and 2017 and found that the quality of care was only slightly better when compared to plans that didn’t have any monthly premiums.

Medicare 108

Medicare Quality of Care Accountability Medicaid 108

HIT Consultant

MAY 2, 2023

Andy Auerbach, Chief Revenue Officer of SafeRide Health As the healthcare industry continues to evolve, there is a growing need for innovative solutions that not only improve the quality of care but also make care more accessible. adults without access to a vehicle or public transportation skipped needed medical care last year.

Medicaid 94

Medicaid Regulations Medicare Integration 94

HIT Consultant

SEPTEMBER 14, 2023

By one estimate, healthcare improvements accounted for one-third of the economic growth of developed nations over the last century. However, actual medical care accounts for 20% or less of what affects population health. By comparing quality-of-care data with population, income, and ethnicity across the U.S.,

Health Data 114

Health Data Telemedicine Accountability Population Health 114

Briggs Healthcare

MARCH 1, 2022

CMS emailed this statement approximately 1 hour ago (afternoon of Tuesday, March 1, 2022): “At tonight’s State of the Union address, the Biden-Harris administration is announcing a vision to improve quality of care and quality of life for nursing home residents.

Nursing 77

Nursing Quality of Care Accountability Medicaid 77

Healthcare It News

MARCH 30, 2022

With the temporary flexibilities from HHS and the Centers for Medicare and Medicaid Services, as well as the impact of the pandemic on telehealth use, we really wanted to kind of do a deep dive and to see, "OK, how many beneficiaries are using telehealth?

Medicare 229

Medicare Medicaid Integration Quality of Care 229

Home Health Care

JULY 5, 2022

Hospital readmissions are regularly viewed as an indicator of the quality of care patients receive. The Centers for Medicare & Medicaid Services (CMS) calculates annual readmission rates, and if those rates are higher than national averages, hospitals are financially penalized.

Hospitals 100

Hospitals Primary Care Nursing Quality of Care 100

HIT Consultant

FEBRUARY 13, 2023

Tom Wriggins, Principal Industry Advisor at SAS John Maynard, CPA, CFE, AHFI Principal Solutions Architect at SAS In 2022, the Center for Medicare and Medicaid Services (CMS) established health equity as a pillar of its future work. Health outcomes and Medicaid program integrity Health outcomes are a function of the quality of care.

Patient Safety 52

Patient Safety Medicaid Integration Medicare 52

Home Health Care

AUGUST 25, 2021

Centers for Medicare & Medicaid Services (CMS) is sure to add more fuel to the fire for the “Choose Home” initiative and other movements aiming to bring more care into the home. 31, 2020, accounting for the majority of the COVID-19 pandemic in the U.S. A recently published study by the U.S.

Nursing 103

Nursing Home Care Medicare Accountability 103

Briggs Healthcare

AUGUST 22, 2022

In February 2022, President Biden announced a comprehensive set of reforms to improve the safety and quality of nursing home care, hold nursing homes accountable for the care they provide, and make the quality of care and facility ownership more transparent so that potential residents and their loved ones can make informed care choices. [1]

Nursing 75

Nursing Medicaid Quality of Care Medicare 75

Home Health Care

MAY 2, 2022

Centers for Medicare & Medicaid Services (CMS), home health providers will need to be prepared to navigate through additional oversight. The reforms are meant to not only “protect vulnerable residents” and health care workers, but also to crack down on “bad actors” in the nursing home industry.

Nursing 102

Nursing Accountability Quality of Care Medicaid 102

Briggs Healthcare

SEPTEMBER 12, 2022

Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), doubled down on its work to protect nursing home residents and their caregivers from illegal methods of guaranteeing payment for care. Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare.

Nursing 75

Nursing Medicare Medicaid Quality of Care 75

Briggs Healthcare

NOVEMBER 15, 2023

These actions continue to build on the Biden-Harris Administration’s unwavering commitment to improving the safety and quality of care in the nation’s nursing homes and President Biden’s historic Executive Order on Promoting Competition in the American Economy.

Nursing 40

Nursing Quality of Care Accountability Medicare 40

NASHP

JUNE 22, 2023

Medicaid covers more than 40 percent of births nationally. Given the critical role that Medicaid plays in maternal health, there is a longstanding interest in the role of Medicaid service delivery systems to improve perinatal health outcomes. All Medicaid beneficiaries served by the practice are included.

Medicaid 59

Medicaid Prevention Accountability Medicare 59

HIT Consultant

MARCH 28, 2023

It’s a question that has significant implications for quality of care as well as cost. The High Cost of Poor Behavioral Healthcare A recent study indicates 10% of patients account for 70% of the nation’s costs and that more than half of these patients have a diagnosed mental health disorder.

Quality of Care 98

Quality of Care Population Health Hospitals Medicaid 98

NASHP

AUGUST 31, 2023

State leaders play a critical role in convening key internal and external partners, implementing engagement and input processes that foster shared ownership and accountability toward goals at the state and community levels.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

HIT Consultant

JULY 13, 2022

Innovaccer provides a centralized case management platform that consolidates data and provides analytics and insights to help close health equity gaps, manage community referrals, and enhance case management for the Medicaid population. .

Population Health 52

Population Health Medicaid Private Healthcare Quality of Care 52

Healthcare It News

MARCH 18, 2022

Norden is particularly passionate about funding companies focused on the Medicaid population – a traditionally tricky and often ignored area. In fact, digital health companies only account for less than $10 billion of that $4 trillion in spending. What's happening in this area of digital health?

Medicaid 338

Medicaid Telemedicine Hospitals Clinical Practice 338

Home Health Care

AUGUST 15, 2021

Centers for Medicare & Medicaid Services (CMS) are again touting the Home Health Value-Based Purchasing (HHVBP) Model as one of the agency’s most successful programs ever. CMMI was created through the Affordable Care Act in 2010. Broadly, HHVBP is a Medicare demonstration that aims to tie reimbursement to quality of care.

Medicare 85

Medicare Medicaid Quality of Care Primary Care 85

p3care

OCTOBER 30, 2020

CMS (The Centers for Medicare and Medicaid Services) released the proposed rule for QPP MIPS 2021 via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). For instance, CMS asks physicians to focus on the quality of care rather than the volume of patients. ACO (Accountable Care Organization) Reporting.

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

HIT Consultant

OCTOBER 20, 2023

According to a study in the Journal of the American Geriatric Society , non-fatal falls cost an estimated $50 billion in medical expenses, while fatal falls account for an estimated $754 million. can be attributed to falls, including approximately six percent of Medicare and eight percent of Medicaid expenditures. Previously Dr.

Rehabilitation 105

Rehabilitation Pharmaceuticals Prevention Biotechnology 105

Briggs Healthcare

MARCH 20, 2023

and Jonathan Blum, Centers for Medicare & Medicaid Services – names you may recognize from CMS National Stakeholder Calls. As the nation’s largest payer for health care, the Centers for Medicare & Medicaid Services’ (CMS) mission in our National Quality Strategy includes ensuring everyone is safe when they receive care.

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

NASHP

AUGUST 24, 2023

State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. Target Populations That Could Benefit from Palliative Care Services Use data to identify Medicaid enrollees with serious illness.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52

Briggs Healthcare

MARCH 2, 2022

“The purpose of this primer is to provide updated information to the patient safety community about the challenges of ensuring the safe care of older adults in Medicare and Medicaid certified nursing homes (NHs) associated with the COVID-19 pandemic, and the federal and state efforts taken to mitigate these challenges.

Nursing 98

Nursing Patient Safety Quality of Care Regulations 98

Briggs Healthcare

MARCH 10, 2022

nursing homes failed to meet the total care staff threshold (4.10 Contract staff accounted for 7.1% LTCCC’s Q3 2021 report can help the public, media, and policymakers identify and assess the extent to which nursing homes in their communities provided sufficient staffing to meet basic clinical and quality of life needs.

Nursing 52

Nursing Quality of Care Accountability Regulations 52

Briggs Healthcare

AUGUST 29, 2023

This comprehensive report (478 pages) summarizes results from the Nursing Home Staffing Study activities between May and December of 2022 and presents options for minimum nurse staffing requirements for consideration by the Centers for Medicare & Medicaid Services. The relationship of staffing with quality and safety varies by staff type.

Nursing 52

Nursing Medicaid Medicare Accountability 52